D R BURTON VPEP

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2017-01-25 for D R BURTON VPEP manufactured by D R Burton.

Event Text Entries

[66078368] D r burton oscillatory vpep have multiple cracks and shards of plastic from patient dropping on floor. The d r burton oscillatory vpep devices consistently break and shatter. The concern is the patient will inhale or aspirate pieces of plastic in their lungs from the shattered mouthpiece.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5067507
MDR Report Key6282839
Date Received2017-01-25
Date of Report2017-01-25
Date of Event2017-01-23
Date Added to Maude2017-01-27
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameD R BURTON VPEP
Generic NamePEP DEVICE
Product CodeBWF
Date Received2017-01-25
OperatorHEALTH PROFESSIONAL
Device Availability*
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerD R BURTON
Manufacturer AddressFARMVILLE NC 27828 US 27828


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2017-01-25

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